Antibodies that recognize hyperproliferative cells and methods of making and using same

ABSTRACT

The invention relates to antibodies that bind to antigens, such as antigens associated with hyperproliferating cells, and methods of treating hyperproliferative disorders. The invention antibodies are useful for treating hyperproliferative disorders, such as neoplasia.

RELATED APPLICATIONS

This application claims the benefit of priority of application Ser. No.60/410,366, filed Sep. 11, 2002.

FIELD OF THE INVENTION

The invention relates to antibodies that bind to antigens associatedwith hyperproliferating cells, and methods of treatinghyperproliferative disorders.

BACKGROUND

Classical antineoplastic therapeutic strategies such as surgery,radiation, and chemotherapy not only fail to cure the great majority ofneoplasms, but their employment often leads to severe and debilitatingside effects. The potential of antibodies as “magic bullets” for cancertherapy has been appreciated for nearly a century. During the past 25years, various scientific developments have made possible the productionof unlimited quantities of clinical-grade murine, chimeric, andhumanized monoclonal antibodies (MoAbs).

Immunotherapy as a fourth anti-cancer therapy has already been proven tobe quite effective. Intact, unconjugated MoAbs may: [1] produceanticancer effects through the immune system on the basis ofinteractions between the Fc portion of antibody and complement proteinsand/or effector cells; [2] induce regulatory effects by neutralizingcirculating ligands or blocking cell membrane receptors, therebyinterfering with ligand/receptor interactions and signal transduction;[3] serve as immunogens for anti-cancer vaccines through theanti-idiotype-network cascade. Conjugated MoAbs can serve as carriers ofother agents such as radioisotopes, natural toxins, chemotherapy drugs,cytokines, and immune cells. Important aspects of the antigenic targetare the degree to which it is tumor-specific or tumor-associated,whether it internalizes or not, whether it is shed, the density ofexpression, and the physiologic significance of the antigen to thetarget cell.

In the 1980s investigators established the safety of antibodyadministration, defined certain predictable antibody-mediatedtoxicities, and confirmed that antibodies could reach tumor targets andproduce antitumor effects. However, clinical use of non-human antibodiesin humans is limited due to the development of an anti-globulin immuneresponse in the host. This limitation has been overcome with theproduction of antibodies with varying degrees of humanization. Forexample, engineered chimeric human-mouse MoABs have been developed byreplacing the mouse Fc region with the human constant region. Moreover,the framework regions of variable domains of rodent immunoglobulins werealso replaced by their human equivalents. In 1997 rituximab (Rituxan), amouse-human chimeric anti-CD20, became the first MoAb approved byregulatory agencies for the treatment of a human malignancy.

SUMMARY

Isolated human polyclonal and monoclonal antibodies are provided. In oneembodiment, an antibody is designated RM4 (ATCC deposit No. PTA-5412)and selectively binds to an antigen designated AgRM4. In anotherembodiment, an antibody is designated RM2 (ATCC deposit No. PTA-5411)and selectively binds to an antigen designated AgRM2.

Antibodies having significant binding affinity for AgRM4 and AgRM2;having the binding specificity of the antibody of RM4 and RM2; thatcompete for the binding of the RM4 or RM2 antibody of AgRM4 and AgRM2,respectively; and that bind to an epitope of AgRM4 or AgRM4 and AgRM2 towhich the antibody RM4 or RM2 binds, are provided. Exemplary antibodieshaving the binding specificity of RM4 and RM2 have a binding affinityfor AgRM4 and AgRM2, respectively, within 1000-fold, within 100-fold,and within 10-fold of RM4 and RM2 antibodies.

Modified antibodies, such as substitutions, additions and deletions ofRM4 and RM2 are provided. Exemplary modified antibodies deviate from thelight chain or the heavy chain amino acid sequence of RM4 (ATCC depositNo. PTA-5412) and RM2 (ATCC deposit No. PTA-5411), provided that themodified antibody binds to AgRM4 and AgRM2, respectively. Exemplarydeletions include Fab, Fab′, Fv, F(ab′)₂, Fd, and single chain Fv.

Modified antibodies that include attached or incorporated molecularentitiesare further provided. Such entities include cytotoxic molecules(e.g., bacterial toxin, plant toxin, alpha, beta or gamma radionuclide,cytotoxic drug, or cytokine), detectable labels and tags (e.g.,radioisotopes, fluorescent compound, colloidal metal, chemiluminescentcompound, bioluminescent compound, enzyme and paramagnetic labels).

Because AgRM2 and AgRM4 have been found to be expressed in proliferatingcells, for example, in part on the cell surface, the invention includesantibodies that bind to hyperproliferating cells in any cell, tissue ororgan type (e.g., breast, colon, gut, or lung cell). Exemplaryhyperproliferating cells include metastatic and non-metastatic cancer orneoplastic cells (e.g., of the breast, colon, gut, or lung).

Further provided are nucleic acids that encode RM4 (ATCC deposit No.PTA-5412) and RM2 (ATCC deposit No. PTA-5411), both full length andsubsequences thereof, cells that contain the nucleic acids (e.g.,transformed cells and hybridoma cells) and cells that express inventionantibodies.

Antibody combination compositions are also provided. In one embodiment,a composition includes an RM4 (ATCC deposit No. PTA-5412) or an RM2(ATCC deposit No. PTA-5411) antibody, and one or more anti-tumor orimmune enhancing agents (e.g., an antibody that binds to an antigen). Inanother embodiment, a composition includes an RM4 (ATCC deposit No.PTA-5412) and RM2 (ATCC deposit No. PTA-5411) antibody.

Kits including compositions of the invention are additionally provided(e.g., combination compositions, pharmaceutical compositions). Kits caninclude instructions for use in a method of the invention, in vitro, exvivo or in vivo.

Pharmaceutical compositions including antibodies of the invention (e.g.,RM4 or RM2), and a pharmaceutically acceptable carrier, are alsoprovided.

Methods of producing antibodies of the invention are provided. In oneembodiment, a nucleic acid that encodes an invention antibody isintroduced into a host cell or a translation extract, and the host cellor extract is incubated under conditions whereby the nucleic acid isexpressed as a translation product, and the antibody isolated.

Also provided are methods of detecting AgRM4 and AgRM2, in a sample invitro and in vivo (e.g., in a subject or biological sample from asubject). In one embodiment, a method includes contacting AgRM4 or asample that may contain AgRM4 with RM4 under conditions allowing theantibody to bind AgRM4; and assaying for the presence of AgRM4. Inanother embodiment, a method includes contacting AgRM2 or a sample thatmay contain AgRM2 with RM2 under conditions allowing the antibody tobind AgRM2; and assaying for the presence of AgRM2.

Methods of identifying inhibitors and stimulators of AgRM4 and AgRM2expression are provided. In one embodiment, a method includes contactinga cell that expresses or is capable of expressing AgRM4 with a testcompound; and detecting expression of said AgRM4. In another embodiment,a method includes contacting a cell that expresses or is capable ofexpressing AgRM2 with a test compound; and detecting expression of saidAgRM2. A change in AgRM4 or AgRM2 expression indicates that the testcompound is an inhibitor or stimulator of AgRM4 or AgRM2 expression.

Methods of inhibiting or preventing the proliferation of a cell (e.g., aproliferating or hyperproliferating cell) in vitro, ex vivo and in vivo(e.g., in a mammalian subject such as a human) that expresses AgRM4 orAgRM2 are provided. In one embodiment, a method includes contacting thecell with an amount of antibody (e.g., RM4 or RM2) sufficient to inhibitor prevent proliferation of the cell. Exemplary cells include brain,skin, breast, colon, gut, lung, and pancreatic cells. Exemplaryhyperproliferating cells include metastatic and non-metastatic cancercells.

Methods of treating hyperproliferative cell disorders, including tumors,cancers and neoplasia, are provided. In one embodiment, a methodincludes administering to a subject an amount of antibody sufficient totreat the hyperproliferative cell disorder. In another embodiment, amethod includes administering to a subject an amount of human monoclonalantibody designated RM4 (ATCC deposit No. PTA-5412) effective to treatthe subject. In yet another embodiment, a method includes administeringto a subject an amount of human monoclonal antibody designated RM2 (ATCCdeposit No. PTA-5411) effective to treat the subject. In still anotherembodiment, a method includes administering to a subject an amount ofhuman monoclonal antibody designated RM4 (ATCC deposit No. PTA-5412) orRM2 (ATCC deposit No. PTA-5411) and an immune enhancing or anti-tumoragent effective to treat the subject. In still a further embodiment, amethod includes administering to a subject an amount of human monoclonalantibody designated RM4 (ATCC deposit No. PTA-5412) and designated RM2(ATCC deposit No. PTA-5411) effective to treat the subject.

Tumors treated in accordance with the invention include stage I, II,III, IV and V tumors; metastatic and non-metastatic tumors; solid andliquid tumors; tumors located at least in part in brain, skin, breast,colon, gut, lung, and pancreas; hematopoetic tumors; sarcomas,carcinomas, melanomas, myelomas, blastomas, lymphomas and leukemias.Candidate treatment subjects include subjects undergoing, or havingundergone anti-cell proliferative (e.g., anti-tumor) therapy.

Treatments include reducing one or more adverse symptoms associated withthe tumor. Treatments also include reducing tumor volume, inhibiting anincrease in tumor volume, inhibiting a progression or worsening of thetumor, stimulating tumor cell lysis or apoptosis, and reducing orinhibiting tumor metastasis. Treatments further include reducingmortality of the subject.

Methods of screening for the presence of a hyperproliferative disordersare provided. In one embodiment, a method includes contacting a tissuein vitro or in vivo with an RM4 antibody (ATCC deposit No. PTA-5412) oran RM2 antibody (ATCC deposit No. PTA-5411), and assaying for thepresence of AgRM4 or AgRM2. The presence of AgRM4 or AgRM2 in the tissueindicates the presence of a hyperproliferative disorder.

DESCRIPTION OF DRAWINGS

FIG. 1 shows tumor (Panc-1 cells, a pancreatic cancer cell line)necrosis in mice following injection with RM2. Tumor volume for eachweek following injection is illustrated.

FIG. 2 shows tumor (Colo205 cells, a colon cancer cell line) necrosis inmice following injection with RM4. Tumor volume for each week followinginjection is illustrated.

FIG. 3 shows tumor (Calu-1 cells, a lung cancer cell line) necrosis inmice following injection with RM2 and RM4. Arrows indicate injections ondays 7, 10, 14 and 18.

DETAILED DESCRIPTION

The invention is based, at least in part, on the isolation andcharacterization of human antibodies that selectively bind tohyperproliferative cells, including tumor cells in vivo. That is, theantibodies preferentially bind to hyperproliferating cells in comparisonto non-proliferating cells. Thus, the antibodies are useful fordetecting and screening for the presence of hyperproliferative cells andthe antigens to which the antibodies bind. In addition, the antibodiesare cytotoxic towards hyperproliferating cells to which they bind whenadministered in a sufficient amount. For example, as exemplified herein,an invention antibody, for example, RM4 (ATCC deposit No. PTA-5412), isable to induce tumor regression (reduce tumor volume) in mice bearingtumors (see, for example, FIGS. 2 and 3). Thus, antibodies of theinvention are useful for treating undesirable, excessive or abnormalcell proliferation including for example, non-metastatic and metastatictumors.

In accordance with invention, isolated antibodies, methods of making theantibodies and methods of using the antibodies, including therapeuticand diagnostic methods, are provided. The invention antibodies arecapable of selectively binding to antigens associated withhyperproliferating cells. In one embodiment, an invention antibody is anisolated human monoclonal antibody designated RM4 that selectively bindsto an antigen designated AgRM4.

Exemplary antibody RM4 is produced by a human IgG secreting cell linederived using standard somatic cell hybridization technology (ATCCdeposit No. PTA-5412). The antibody secreting B cell was obtained frompooled regional draining lymph nodes of cancer patients and immortalizedwith RN15, a WIL-2 derived human fusion partner. RM4 recognizes a cellsurface (extracellular matrix) component (AgRM4). AgRM4 is expressed atleast in part on the cell surface. AgRM4 is more highly expressed inproliferating cells than in non-proliferating cells, e.g.,hyperproliferating cells. AgRM4 is present on metastatic ornon-metastatic breast, colon, gut and lung cancer cells.

As used herein, the term “antibody” refers to a protein that binds toother molecules (antigens) via heavy and light chain variable domains,V_(H) and V_(L), respectively. Antibodies include IgG, IgD, IgA, IgM andIgE, subtypes, and mixtures thereof. The antibodies may be polyclonal ormonoclonal, intact immunoglobulin molecules, two full length heavychains linked by disulfide bonds to two full length light chains, orsubsequences (i.e. fragments) thereof, with our without constant region,that bind to an epitope of an antigen, and mixtures thereof. Antibodiesmay comprise heavy or light chain variable regions, V_(H) or V_(L),individually, or in any combination.

The terms “protein,” “polypeptide” and “peptide” are usedinterchangeably herein to refer to two or more covalently linked aminoacids, or “residues,” through an amide bond or equivalent. Polypeptidesare of unlimited length and the amino acids may be linked by non-naturaland non-amide chemical bonds including, for example, those formed withglutaraldehyde, N-hydoxysuccinimide esters, bifunctional maleimides, orN,N′-dicyclohexylcarbodiimide (DCC). Non-amide bonds include, forexample, ketomethylene, aminomethylene, olefin, ether, thioether and thelike (see, e.g., Spatola (1983) in Chemistry and Biochemistry of AminoAcids, Peptides and Proteins, Vol. 7, pp 267–357, “Peptide and BackboneModifications,” Marcel Decker, N.Y.).

As used herein, the term “isolated,” when used as a modifier of aninvention composition (e.g., antibodies, modified forms, subsequences,nucleic acids encoding same, cells, vectors, etc.), means that thecompositions are made by the hand of man or are separated from theirnaturally occurring in vivo environment.

Generally, compositions so separated are substantially free of one ormore materials with which they normally associate with in nature, forexample, one or more protein, nucleic acid, lipid, carbohydrate, cellmembrane. Thus, an isolated antibody is typically substantially free ofone or more materials with which it may typically associate with innature. The term “isolated” does not exclude alternative physical forms,such as polypeptide multimers, post-translational modifications (e.g.,phosphorylation, glycosylation) or derivatized forms.

An “isolated” antibody can also be “substantially pure” when free ofmost or all of the materials with which it typically associates with innature. Thus, an isolated molecule that also is substantially pure doesnot include polypeptides or polynucleotides present among millions ofother sequences, such as antibodies of an antibody library or nucleicacids in a genomic or cDNA library, for example. Of course, a“substantially pure” molecule can be combined with one or more othermolecules. Thus, the term “substantially pure” does not excludecombination compositions.

Substantial purity can be at least about 60% or more of the molecule bymass. Purity can also be about 70% or 80% or more, and can be greater,for example, 90% or more. Purity can be determined by any appropriatemethod, including, for example, UV spectroscopy, chromatography (e.g.,HPLC, gas phase), gel electrophoresis (e.g., silver or coomassiestaining) and sequence analysis (nucleic acid and peptide).

The invention further provides antibodies having the binding specificityof the antibodies set forth herein. In one embodiment, the antibody hasthe binding specificity of RM4. In one aspect, the binding is specificfor AgRM4.

The invention additionally provides antibodies that compete with thebinding of the antibodies set forth herein, and antibodies that bind toan epitope of AgRM4 to which an antibody of the invention binds. In oneembodiment, the antibody competes with the binding of RM4 to an antigen.In another embodiment, the antibody binds to an epitope of AgRM4 towhich an antibody of the invention binds. In one aspect, the antibodycompetes with the binding of RM4 to AgRM4.

As used herein, the term “bind” or “binding” means that the compositionsreferred to have affinity for each other. The term “specific” or“selective,” and grammatical variations thereof, when used in referenceto binding, means that the binding between the molecules is such that itcan be distinguished from non-specific or non-selective binding to othermolecules using an assay such as ELISA, immunoprecipitation,coprecipitation, western blotting, two-hybrid assays and the like.Appropriate controls can be used to distinguish between “specific” and“non-specific” binding. For example, specific or selective bindingtypically has a dissociation constant (K_(D)) of less than about 1×10⁻⁵M or less than about 1×10⁻⁶ M, 1×10⁻⁷M, 1×10⁻⁸ M, 1×10⁻⁹M, or 1×10⁻¹⁰M.In contrast, non-specific binding typically has significantly lessaffinity, for example, a K_(D) greater than 10⁻³ M. Thus, selectivebinding can be distinguished from non-selective binding by measuringdissociation constant of the complex. Selective binding can also bedistinguished form non-selective binding by increasing the stringency ofthe binding assay. A particular example of specific binding is thatwhich occurs between an antibody and an antigen.

As used herein, the term “epitope” means an antigenic determinant towhich an antibody binds. A polypeptide epitope can be as few as threeamino acids, yet generally an epitope has at least five amino acids ormore, e.g., at least eight to 12 amino acids. A “conformational epitope”is an epitope comprised of a two or three dimensional juxtaposition ofamino acids; the amino acids can be contiguous or non-contiguous on thesame polypeptide or on one or more different polypeptides.

Antibodies having substantially the same (e.g., within about 10-fold)and having different binding affinity from the antibodies set forthherein are also provided. In one embodiment, an antibody has increasedor decreased affinity for the antigen (e.g., AgRM4) in comparison to areference antibody (e.g., RM4). In one aspect, an antibody has a bindingaffinity for AgRM4 within 1000-fold of the RM4 antibody. In additionalaspects, the antibodies having different binding affinity from theantibodies set forth herein are within 2–5, 5–10, 10–50, 50–100,100–1000 and 1000–10,000 fold of RM4 antibody heavy and light chainsequences.

Antibodies having significant binding affinity for AgRM4 are alsoprovided. As used herein, the term “significant” or “substantial” whenused in reference to binding affinity or activity, means that thedissociation constant (K_(D)) of the complex (e.g., antibody-antigencomplex) is not less than 10⁻³ M. In other words, for significantbinding affinity or activity, the K_(D) must be less than 10⁻³ M, e.g.,10⁻⁴ M, 10⁻⁵ M, 10⁻⁶ M, 10⁻⁷ M, 10⁻⁸ M, etc. Typically, the K_(D) of anantibody-antigen complex is about 10⁻⁵ M to about 10⁻⁶ M or less.

Antibodies of the invention include modified forms of the antibodies setforth herein, provided that the modified antibody retains, at least apart of, a function or activity of the unmodified or reference antibody.For example, a modified RM4 antibody may retain antigen bindingspecificity, e.g., bind an epitope present in AgRM4, but have increasedor decreased binding affinity for AgRM4 relative to unmodified RM4.

Thus, invention antibodies further include antibodies having sequencesdistinct from the RM4 antibody heavy and light chain sequences. Invarious embodiments, an antibody has the binding specificity of RM4,competes for RM4 binding to AgRM4, and binds to an epitope of AgRM4 towhich an antibody of the invention binds.

The term “modify” and grammatical variations thereof, when used inreference to a composition such as a polypeptide or nucleic acid, meansthat the modified composition deviates from a reference composition.Polypeptide modifications include amino acid substitutions, additionsand deletions, which are also referred to as “variants.” Polypeptidemodifications also include one or more D-amino acids substituted forL-amino acids (and mixtures thereof), structural and functionalanalogues, for example, peptidomimetics having synthetic or non-naturalamino acids or amino acid analogues and derivatized forms. Polypeptidemodifications further include fusion (chimeric) polypeptide sequences,which is an amino acid sequence having one or more molecules notnormally present in a reference native (wild type) sequence covalentlyattached to the sequence, for example, one or more amino acids.Modifications include cyclic structures such as an end-to-end amide bondbetween the amino and carboxy-terminus of the molecule or intra- orinter-molecular disulfide bond. Polypeptides including antibodies may bemodified in vitro or in vivo, e.g., post-translationally modified toinclude, for example, sugar residues, phosphate groups, ubiquitin, fattyacids or lipids.

Thus, the invention provides antibodies having one or moremodifications, provided that the modified antibody retains an activityor function of a reference antibody (e.g., antigen binding activity). Inone embodiment, the antibody is modified from a light chain or the heavychain amino acid sequence of RM4. In one aspect, a modified antibody hasan amino acid substitution, addition or deletion (e.g., 1–3, 3–5, 5–10or more) of the variable or constant region, heavy or light chain. Inanother aspect, the modified antibody comprises a subsequence (e.g.,Fab, Fab′, Fv, F(ab′)₂, Fd, or single chain Fv). In yet another aspect,the substitution is with a human or non-human amino acid which isstructurally similar to the human residue. In a particular aspect, thesubstitution is a conservative amino acid substitution.

A “conservative substitution” means the replacement of one amino acid bya biologically, chemically or structurally similar residue. Biologicallysimilar means that the substitution is compatible with biologicalactivity, e.g., antigen binding. Structurally similar means that theamino acids have side chains with similar length, such as alanine,glycine and serine, or having similar size. Structurally similarsubstitutions are unlikely to alter antigenicity of the antibodyrelative to the unsubstituted antibody. Chemical similarity means thatthe residues have the same charge or are both hydrophilic orhydrophobic. Particular examples include the substitution of onehydrophobic residue, such as isoleucine, valine, leucine or methioninefor another, or the substitution of one polar residue for another, suchas the substitution of arginine for lysine, glutamic for aspartic acids,or glutamine for asparagine, serine for threonine, and the like.

Invention antibodies having a sequence not identical to a sequence ofheavy and light chain amino acid sequences of RM4 include antibodieshaving an amino acid sequence with 50%, 60%, 70%, 75%, 80%, 85%, 90%,95%, 96%, 97%, 98%, or more identity to a heavy or light chain aminoacid sequence of RM4. The identity can be over a defined area of theantibody, e.g., one or more complementarity determining regions (CDRs)or framework region.

The term “identical” or “identity” means that two or more referencedentities are the same. Thus, where two protein sequences are identical,they have the same amino acid sequence. “Areas of identity” means that aportion of two or more referenced entities are the same. Thus, where twoprotein sequences are identical over one or more sequence regions theyshare amino acid identity in these regions. The term “substantialidentity” means that the identity is structurally or functionallysignificant. That is, the identity is such that the molecules arestructurally identical or have at least one of the same functions (e.g.,biological function) even though the molecules differ.

Due to variation in the amount of sequence conservation betweenstructurally and functionally related proteins, the amount of sequenceidentity for substantial identity will depend upon the type of protein,the region and its function. For proteins there can be as little as 30%sequence identity, but typically there is more, e.g., 50%, 60%, 75%,85%, 90%, 95%, 96%, 97%, 98%, identity to a reference sequence. Fornucleic acid sequences, 50% sequence identity or more typicallyconstitutes substantial homology, but can vary depending on thecomparison region.

The extent of identity between two sequences can be ascertained using acomputer program and mathematical algorithm known in the art. Suchalgorithms that calculate percent sequence identity (homology) generallyaccount for sequence gaps and mismatches over the comparison region. Forexample, a BLAST (e.g., BLAST 2.0) search algorithm (see, e.g., Altschulet al. (1990) J. Mol. Biol. 215:403–10, publicly available through NCBI)has exemplary search parameters as follows: Mismatch-2; gap open 5; gapextension 2. For polypeptide sequence comparisons, a BLASTP algorithm istypically used in combination with a scoring matrix, such as PAM100, PAM250, and BLOSUM 62.

As used herein, the term “subsequence” or “fragment” means a portion ofthe full length molecule. For example, a subsequence of an antibody isat least one amino acid less in length than full length antibody havingintact heavy and light chain sequence (e.g. one or more internal orterminal amino acid deletions from either amino or carboxy-termini).Subsequences therefore can be any length up to the full length molecule.

Subsequences include portions which retain at least part of the functionor activity of a full length antibody or a reference antibody sequence.For example, an antibody subsequence will retain the ability toselectively bind to an antigen (e.g., AgRM4) even though the bindingaffinity of the subsequence may be greater or less than the bindingaffinity of the full length reference antibody. Subsequences cancomprise a portion of any of the invention antibody sequences, forexample, a portion of V_(H) or V_(L) domain of RM4. Specific examples ofantibody subsequences of the invention include, for example, Fab, Fab′,Fv, F(ab′)₂, Fd, or single chain antibody (SCA) fragment (e.g., scFv).Additional fragments are known in the art and described, for example, inHudson, Curr. Opin. Biotechnol. 9:395 (1998).

Pepsin or papain digestion of whole antibodies can be used to generatesubsequences. For example, Fab can be produced by digestion of a wholeantibody with the enzyme papain, to yield a fragment consisting of anintact light chain and a portion of a heavy chain. (Fab′)₂ can beproduced by treating a whole antibody with the enzyme pepsin, withoutsubsequent reduction. An Fab′ antibody fragment can be produced from(Fab′)₂ by reduction with a thiol reducing agent, which yields amolecule consisting of an intact light chain and a portion of a heavychain. Two Fab′ fragments are produced per antibody molecule treated inthis manner.

An Fv fragment is a fragment containing the variable region of a lightchain V_(L) and the variable region of a heavy chain V_(H) expressed astwo chains. The association may be non-covalent or may be covalent, suchas a chemical cross-linking agent or an intermolecular disulfide bond(Inbar et al., (1972) Proc. Natl. Acad Sci. USA 69:2659; Sandhu (1992)Crit. Rev. Biotech. 12:437).

A single chain antibody (SCA) is a genetically engineered orenzymatically digested antibody containing the variable region of alight chain V_(L) and the variable region of a heavy chain, optionallylinked by a flexible linker, such as a polypeptide sequence, in eitherV_(L)-linker-V_(H) orientation or in V_(H)-linker-V_(L) orientation.Alternatively, a single chain Fv fragment can be produced by linking twovariable domains via a disulfide linkage between two cysteine residues.Methods for producing scFv antibodies are described, for example, byWhitlow et al., (1991) In: Methods: A Companion to Methods in Enzymology2:97; U.S. Pat. No. 4,946,778; and Pack et al., (1993) Bio/Technology11:1271.

Other methods of producing antibody subsequences, such as separation ofheavy chains to form monovalent light-heavy chain fragments, furthercleavage of fragments, or other enzymatic, chemical, or genetictechniques may also be used, provided that the subsequences have afunction or activity, e.g., bind to the antigen to which the intactantibody binds.

Modified forms also include derivatized sequences, for example, aminoacids in which free amino groups form amine hydrochlorides, p-toluenesulfonyl groups, carbobenzoxy groups; the free carboxy groups fromsalts, methyl and ethyl esters; free hydroxl groups that form O-acyl orO-alkyl derivatives, as well as naturally occurring amino acidderivatives, for example, 4-hydroxyproline, for proline, 5-hydroxylysinefor lysine, homoserine for serine, ornithine for lysine, etc.Modifications can be produced using any of a variety of methods wellknown in the art (e.g., PCR based sited-directed, deletion and insertionmutagenesis, chemical modification and mutagenesis, cross-linking,etc.).

Antibodies of the invention can be either joined directly or indirectlythrough covalent or non-covalent binding, e.g. via a multimerizationdomain, to produce multimers. Specific examples of domains that confermultimer formation include coiled-coil (e.g., leucine zipper structures)and alpha-helical protein sequences. Sequences that mediateprotein-protein binding via Van der Waals' forces, hydrogen bonding orcharge-charge bonds are also contemplated as multimerization domains.One specific example of a multimerization domain is p53 residues 319 to360, which mediates tetramer formation. Another example is extracellularprotein TSP4, a member of the thrombospondin family, which can formpentamers. Additional specific examples are the leucine zippers of jun,fos, and yeast protein GCN4.

The antibodies of the invention therefore also include multimers. Amultimer can be a dimer, trimer, tetramer or other higher orderoligomer. Multimers can be combinations of the same antibodies(homo-oligomers) or different antibodies (hetero-oligomers), thedifferent antibodies being human, humanized or non-human.

Antibodies of the invention can be modified to include one or morefunctions or activities in addition to binding a particular antigen. Forexample, an antibody can include a region that binds to a differentantigen, or have a function distinct from antigen binding. Such modifiedantibodies are referred to herein as “multifunctional antibodies,” andinclude, for example, multispecific (e.g., bispecific, trispecific,tetraspecific, etc.) antibodies. The term “multispecific” refers to anantibody that binds to two or more different antigenic epitopes. Thedifferent epitopes may be present on the same antigen or differentantigens. For example, a multispecific antibody oligomer comprises amixture of two or more antibodies each having different epitope bindingspecificity and which form a multimer. The different epitopes may beexpressed by the same or a different cell.

The term “multifunctional” means that the composition referred to hastwo or more activities or functions. Particular non-limiting examplesinclude, for example, antigen binding, enzyme activity, ligand orreceptor binding (substrates, agonists and antagonists), detection,purification, and toxicity.

The term “detectable label” refers to a molecule that can be conjugatedto another molecule so as to enable detection of the conjugatedmolecule. Examples of detectable labels include chelators, photoactiveagents, radionuclides (alpha, beta and gamma emitters), fluorescentagents and paramagnetic ions. Th term “tag” refers to a moleculeconjugated to another that allows detection or purification. Specificexamples of tags include immunoglobulins, T7, polyhistidine tags,glutathione-S-transferase, a chitin-binding tag, calmodulin-binding tag,myc tag, and a Xpress epitope (detectable by anti-Xpress antibody;Invitrogen, Carlsbad, Calif., USA).

An antibody that has an attached polypeptide with enzyme activity (e.g.,green fluorescent protein, acetyltransferase, galactosidase, glucoseoxidase, peroxidase, horseradish peroxidase (HRP), urease and alkalinephosphatase) is one particular example of a muiltifunctional antibody.Attached polypeptides also include apoptotic factors, differentiativefactors, chemokines and cytokines (interleukins, interferons).

Additional candidate functions for multifunctional antibodies other thanantigen binding include, for example, radioactive (e.g., ³H, ¹⁴C, ³²P,³³P, ³⁵S, ¹²⁵I, ¹³¹I) and non-radioactive moieties (e.g., goldparticles, colored glass or plastic polystyrene, polypropylene, or latexbeads) and amino acid sequences (e.g., tags, as set forth herein) fordetection.

Detectable moieties also include fluorescent compounds (e.g.,fluorescein isothiocyanate, rhodamine, phycoerytherin, phycocyanin,allophycocyanin, o-phthaldehyde, fluorescamine, and commerciallyavalailable fluorophores such as Alexa Fluor 350, Alexa Fluor 488, AlexaFluor 532, Alexa Fluor 546, Alexa Fluor 568, Alexa Fluor 594, AlexaFluor 647, and BODIPY dyes such as BODIPY 493/503, BODIPY FL, BODIPYR6G, BODIPY 530/550, BODIPY TMR, BODIPY 558/568, BODIPY 558/568, BODIPY564/570, BODIPY 576/589, BODIPY 581/591, BODIPY TR, BODIPY 630/650,BODIPY 650/665, Cascade Blue, Cascade Yellow, Dansyl, lissaminerhodamine B, Marina Blue, Oregon Green 488, Oregon Green 514, PacificBlue, rhodamine 6G, rhodamine green, rhodamine red, tetramethylrhodamineand Texas Red, from Molecular Probes, Inc., Eugene, Oreg.), colloidalmetals, chemiluminescent compounds (e.g., luminol, isoluminol, anaromatic acridinium ester, an imidazole, an acridinium salt and oxalateesters), bioluminescent compounds (e.g., luciferin, luciferase andaequorin), paramagnetic labels (e.g., chromium (III), manganese (II),manganese (III), iron (II), iron (III), cobalt (II), nickel (II), copper(II), praseodymium (III), neodymium (III), samarium (III), gadolinium(III), terbium (III), dysprosium (III), holmium (III), erbium (III) andytterbium (III)) which can be detected by MRI, and adhesion proteins(e.g., biotin, streptavidin, avidin, and other lectins).

Additional candidate functions include cytotoxicity (e.g., bacterialcholera toxin, pertussis toxin, anthrax toxin lethal factor, Pseudomonasexotoxin A, diphtheria toxin, plant toxin ricin, radionuclides such as⁴⁷Sc ⁶⁷Cu, ⁷²Se, ⁸⁸Y, ⁹⁰Sr, ⁹⁰Y, ⁹⁷Ru, ⁹⁹Tc, ¹⁰⁵Rh, ¹¹¹In, ¹²⁵I, ¹³¹I,¹⁴⁹Tb, ¹⁵³Sm, ¹⁸⁶Re, ¹⁸⁸Re, ¹⁹⁴Os, ²⁰³Pb, ²¹¹At, ²¹²Bi, ²¹³Bi, ²¹²Pb,²²³Ra, ²²⁵Ac, ²²⁷Ac, ²²⁸Th, and cytotoxic drugs). Modified antibodiestherefore also include addition of functional entities, covalently ornon-covalently attached to the antibodies of the invention.

Multifunctional antibodies can be produced through chemical crosslinkingof the selected molecules (which have been produced by synthetic meansor by expression of nucleic acid that encode the polypeptides), via anamino acid linker sequence or through recombinant DNA technologycombined with in vitro, or cellular expression of the polypeptide.Multispecific antibodies can be similarly produced through recombinanttechnology and expression, fusion of hybridomas (e.g., to producequadromas) that produce antibodies with different epitopicspecificities, or expression of multiple nucleic acid encoding antibodyvariable chains with different epitopic specificities in a single cell.The coupling of such agents can be performed using conventional methodsknown in the art (see, for example, R. Reisfeld and S. Sell Eds.Monoclonal Antibodies and Cancer Therapy, Alan R. Liss Inc. NY, 1985;and U.S. Pat. Nos. 5,558,852 and 5,624,659)

Polypeptide sequences can be made using recombinant DNA technology ofpolypeptide encoding nucleic acids via cell expression or in vitrotranslation, or chemical synthesis of polypeptide chains using methodsknown in the art. Antibodies of the invention, including modified formsand subsequences can be expressed from recombinantly producedantibody-encoding nucleic acid (see, e.g., Harlow and Lane, UsingAntibodies: A Laboratory Manual, Cold Spring Harbor Laboratory, 1999;Fitzgerald et al., J.A.C.S. 117:11075 (1995); Gram et al., Proc. Natl.Acad. Sci USA 89:3576 (1992)). Antibodies may also be produced byexpressing encoding nucleic acids in mammalian, insect, and plant cells.Polypeptide sequences including antibodies can also be produced by achemical synthesizer (see, e.g., Applied Biosystems, Foster City,Calif.).

The invention further provides nucleic acids encoding inventionantibodies, including modified forms thereof. In various embodiments, anucleic acid encodes a sequence of a heavy or light chain amino acidsequence set forth of RM4. In a particular aspect, a nucleic acidencodes a sequence of a heavy or light chain amino acid sequence of RM4.

As used herein, a “nucleic acid,” refers to at least two or more ribo-or deoxy-ribonucleic acid base pairs (nucleotides) that are linkedthrough a phosphoester bond or equivalent. Nucleic acids includepolynucleotides and polynucleosides. Nucleic acids include single,double or triplex, circular or linear, molecules. A nucleic acidmolecule may belong exclusively or in a mixture to any group ofnucleotide-containing molecules, as exemplified by, but not limited to:RNA, DNA, cDNA, genomic nucleic acid, non-genomic nucleic acid,naturally occurring and non naturally occurring nucleic acid andsynthetic nucleic acid.

Nucleic acids can be of any length. Nucleic acid lengths typically rangefrom about 20 nucleotides to 10 Kb, 10 nucleotides to 5 Kb, 1 to 5 Kb orless, 1000 to about 500 nucleotides or less in length. Nucleic acids canalso be shorter, for example, 100 to about 500 nucleotides, or fromabout 12 to 25, 25 to 50, 50 to 100, 100 to 250, or about 250 to 500nucleotides in length.

Nucleic acids further include modifications such as nucleotide andnucleoside substitutions, additions and deletions, as well asderivatized forms and fusion sequences (e.g., encoding recombinantpolypeptide). For example, due to the degeneracy of the genetic code,nucleic acids include sequences and subsequences degenerate with respectto nucleic acids that encode amino acid sequences of RM4. Other examplesare nucleic acids complementary to a sequence that encodes an amino acidsequence of RM4. Nucleic acid deletions (subsequences) have from about10 to 25, 25 to 50 or 50 to 100 nucleotides. Such nucleic acids areuseful for expressing polypeptide fragments, for genetic manipulation(as primers and templates for PCR amplification), and as probes todetect the presence or an amount of a sequence encoding an inventionantibody in vitro, in a cell, culture medium, biological sample (e.g.,tissue, organ, blood or serum), or in a subject.

In yet another example of nucleic acid modifications, nucleic acids thathybridize at high stringency to nucleic acids that encode an amino acidsequence of RM4, a subsequence thereof and nucleic acid sequencescomplementary to the encoding nucleic acids, are provided. Hybridizingnucleic acids are useful for detecting the presence or an amount of asequence encoding an invention antibody in vitro, or in a cell, culturemedium, biological sample (e.g., tissue, organ, blood or serum), or in asubject.

The term “hybridize” refers to the binding between nucleic acidsequences. Hybridizing sequences will generally have more than about 50%homology to a nucleic acid that encodes an amino acid sequence of RM4.The hybridization region between hybridizing sequences can extend overat least about 10–15 nucleotides, 15–20 nucleotides, 20–30 nucleotides,30–50 nucleotides, 50–100 nucleotides, or about 100 to 200 nucleotidesor more.

As is understood by those skilled in the art, the T_(M) (meltingtemperature) is the temperature at which binding between two nucleicacid sequences is no longer stable. For two sequences to bind, thetemperature of a hybridization reaction must be less than the calculatedT_(M) for the sequences under the hybridization conditions. The T_(M) isinfluenced by the amount of sequence complementarity, length,composition (% GC), type of nucleic acid (RNA vs. DNA), and the amountof salt, detergent and other components in the reaction (e.g.,formamide). All of these factors are considered in establishingappropriate hybridization conditions (see, e.g., the hybridizationtechniques and formula for calculating T_(M) described in Sambrook etal., In: Molecular Cloning: A Laboratory Manual, 3^(rd) ed., Cold SpringHarbor Laboratory Press, 2001).

Typically, wash conditions are adjusted to attain the desired degree ofhybridization stringency. Thus, hybridization stringency can bedetermined empirically, for example, by washing under particularconditions, e.g., at low stringency conditions or high stringencyconditions. Optimal conditions for selective hybridization will varydepending on the particular hybridization reaction involved. An exampleof high stringency hybridization conditions are as follows: 2×SSC/0.1%SDS at about 37° C. or 42° C. (hybridization conditions); 0.5×SSC/0.1%SDS at about room temperature (low stringency wash); 0.5×SSC/0.1% SDS atabout 42° C. (moderate stringency wash); and 0.1×SSC/0.1% SDS at about65° C. (high stringency wash).

Nucleic acids can be produced using various standard cloning andchemical synthesis techniques. Such techniques include, but are notlimited to nucleic acid amplification, e.g., polymerase chain reaction(PCR), with genomic DNA or cDNA targets using primers (e.g., adegenerate primer mixture) capable of annealing to antibody encodingsequence; and chemical synthesis of nucleic acid sequences. Thesequences produced can then be translated in vitro, or cloned into aplasmid and propagated and then expressed in a cell (e.g.,microorganism, such as yeast or bacteria, a eukaryote such as an animalor mammalian cell or in a plant).

The invention further provides expression cassettes including a nucleicacid encoding an invention antibody operably linked to an expressioncontrol element. As used herein, the term “operably linked” refers to aphysical or a functional relationship between the elements referred tothat permit them to operate in their intended fashion. Thus, anexpression control element “operably linked” to a nucleic acid meansthat the control element modulates nucleic acid transcription and asappropriate, translation of the transcript.

Physical linkage is not required for the elements to be operably linked.For example, a minimal element can be linked to a nucleic acid encodingan invention antibody. A second element that controls expression of anoperably linked nucleic acid encoding a protein that functions “intrans” to bind to the minimal element can influence expression of theantibody. Because the second element regulates expression of antibody,the second element is operably linked to the nucleic acid encoding theantibody even though it is not physically linked.

The term “expression control element” refers to nucleic acid thatinfluences expression of an operably linked nucleic acid. Promoters andenhancers are particular non-limiting examples of expression controlelements. A “promotor sequence” is a DNA regulatory region capable ofinitiating transcription of a downstream (3′ direction) coding sequence.The promoter sequence includes a number of nucleotides necessary tofacilitate transcription initiation. Enhancers also regulate geneexpression, but can function a distance from the transcription startsite of the gene to which it is operably linked. Enhancers function ateither 5′ or 3′ ends of the gene, as well as within the gene (e.g., inintrons or coding sequences). Additional expression control elementsinclude leader sequences and fusion partner sequences, internal ribosomebinding sites (IRES) elements for the creation of multigene, orpolycistronic, messages, splicing signal for introns, maintenance of thecorrect reading frame of the gene to permit in-frame translation ofmRNA, polyadenylation signal to provide proper polyadenylation of thetranscript of a gene of interest, and stop codons.

Expression control elements include “constitutive” elements such thattranscription of the operably linked nucleic acid occurs without thepresence of a signal or stimuli. Expression control elements that conferexpression in response to a signal or stimuli, which either increases ordecreases expression of the operably linked nucleic acid, are“regulatable.” A regulatable element that increases expression of theoperably linked nucleic acid in response to a signal or stimuli isreferred to as an “inducible element.” A regulatable element thatdecreases expression of the operably linked nucleic acid in response toa signal or stimuli is referred to as a “repressible element” (i.e., thesignal decreases expression; when the signal is removed or absent,expression is increased).

Expression control elements include elements active in a particulartissue or cell type, referred to as “tissue-specific expression controlelements.” Tissue-specific expression control elements are typicallyactive in specific cell or tissue types because they are recognized bytranscriptional activator proteins, or other regulators oftranscription, that are unique to the specific cell or tissue type.

Expression control elements include full-length nucleic acid sequences,such as native promoter and enhancer elements, as well as subsequencesor nucleotide variants thereof (e.g., substituted/mutated or other formsthat differ from native sequences) which retain all or part offull-length or non-variant control element function (confer regulation,e.g., retain some amount of inducibility in response to a signal orstimuli).

For bacterial expression, constitutive promoters include T7, as well asinducible promoters such as pL of bacteriophage λ, plac, ptrp, ptac(ptrp-lac hybrid promoter). In insect cell systems, constitutive orinducible promoters (e.g., ecdysone) may be used. In yeast, constitutivepromoters include, for example, ADH or LEU2 and inducible promoters suchas GAL (see, e.g., Ausubel et al., In: Current Protocols in MolecularBiology, Vol. 2, Ch. 13, ed., Greene Publish. Assoc. & WileyInterscience, 1988; Grant et al., (1987) In: Methods in Enzymology,153:516–544, eds. Wu & Grossman, 1987, Acad. Press, N.Y.; Glover, DNACloning, Vol. II, Ch. 3, IRL Press, Wash., D.C., 1986; Bitter (1987) In:Methods in Enzymology, 152:673–684, eds. Berger & Kimmel, Acad. Press,N.Y.; and, Strathern et al., The Molecular Biology of the YeastSaccharomyces (1982) eds. Cold Spring Harbor Press, Vols. I and II).

For mammalian expression, constitutive promoters of viral or otherorigins may be used. For example, SV40, or viral long terminal repeats(LTRs) and the like, or inducible promoters derived from the genome ofmammalian cells (e.g., metallothionein IIA promoter; heat shockpromoter, steroid/thyroid hormone/retinoic acid response elements) orfrom mammalian viruses (e.g., the adenovirus late promoter; theinducible mouse mammary tumor virus LTR) are used.

The invention also provides stably and transiently transformed cells andprogeny thereof into which a nucleic acid molecule encoding an inventionantibody has been introduced by means of recombinant DNA techniques invitro, ex vivo or in vivo. The transformed cells can be propagated andthe introduced nucleic acid transcribed, or encoded protein expressed.Transformed cells include but are not limited to prokaryotic andeukaryotic cells such as bacteria, fungi, plant, insect, and animal(e.g., mammalian, including human) cells. In one particular aspect, thecell is a hybridoma. The cells may be present in culture, in a cell,tissue or organ ex vivo or a subject. A progeny cell may not beidentical to the parental cell, since there may be mutations that occurduring replication.

The term “transformed” means a genetic change in a cell followingincorporation of nucleic acid (e.g., a transgene) exogenous to the cell.Thus, a “transformed cell” is a cell into which, or a progeny of which anucleic acid molecule has been introduced by means of recombinant DNAtechniques. Cell transformation to produce host cells may be carried outas described herein or using techniques known in the art. Accordingly,methods of producing cells including the nucleic acids and cellsexpressing the invention antibodies are also provided.

Typically, cell transformation employs a “vector,” which refers to aplasmid, virus, such as a viral vector, or other vehicle known in theart that can be manipulated by insertion or incorporation of a nucleicacid. For genetic manipulation “cloning vectors” can be employed, and totranscribe or translate the inserted polynucleotide “expression vectors”can be employed. Such vectors are useful for introducing nucleic acids,including a nucleic acid that encodes an antibody operably linked withan expression control element, and expressing the antibody in vitro(e.g., in solution or in solid phase), in cells or in a subject in vivo.

A vector generally contains an origin of replication for propagation ina cell. Control elements, including expression control elements as setforth herein, present within a vector, can be included to facilitatetranscription and translation.

Vectors can include a selection marker. A “selection marker” is a genethat allows for the selection of cells containing the gene. “Positiveselection” refers to a process whereby only cells that contain theselection marker will survive upon exposure to the positive selection.Drug resistance is one example of a positive selection marker; cellscontaining the marker will survive in culture medium containing theselection drug, and cells lacking the marker will die. Selection markersinclude drug resistance genes such as neo, which confers resistance toG418; hygr, which confers resistance to hygromycin; and puro whichconfers resistance to puromycin. Other positive selection marker genesinclude genes that allow identification or screening of cells containingthe marker. These genes include genes for fluorescent proteins (GFP andGFP-like chromophores, luciferase), the lacZ gene, the alkalinephosphatase gene, and surface markers such as CD8, among others.“Negative selection” refers to a process whereby cells containing anegative selection marker are killed upon exposure to an appropriatenegative selection agent. For example, cells which contain the herpessimplex virus-thymidine kinase (HSV-tk) gene (Wigler et al., Cell 11:223(1977)) are sensitive to the drug gancyclovir (GANC). Similarly, the gptgene renders cells sensitive to 6-thioxanthine.

Viral vectors included are those based on retroviral, adeno-associatedvirus (AAV), adenovirus, reovirus, lentivirus, rotavirus genomes, simianvirus 40 (SV40) or bovine papilloma virus (Cone et al., Proc. Natl.Acad. Sci. USA 81:6349 (1984); Eukaryotic Viral Vectors, Cold SpringHarbor Laboratory, Gluzman ed., 1982; Sarver et al., Mol. Cell. Biol.1:486 (1981)). Additional viral vectors useful for expression includeparvovirus, rotavirus, Norwalk virus, coronaviruses, paramyxo andrhabdoviruses, togavirus (e.g., sindbis virus and semliki forest virus)and vesicular stomatitis virus (VSV).

Mammalian expression vectors include those designed for in vivo and exvivo expression, such as AAV (U.S. Pat. No. 5,604,090). AAV vectors havepreviously been shown to provide expression of Factor IX in humans andin mice at levels sufficient for therapeutic benefit (Kay et al., Nat.Genet. 24:257 (2000); Nakai et al., Blood 91:4600 (1998)). Adenoviralvectors (U.S. Pat. Nos. 5,700,470, 5,731,172 and 5,928,944), herpessimplex virus vectors (U.S. Pat. No. 5,501,979) retroviral (e.g.,lentivirus vectors are useful for infecting dividing as well asnon-dividing cells and foamy virues) vectors (U.S. Pat. Nos. 5,624,820,5,693,508, 5,665,577, 6,013,516 and 5,674,703 and WIPO publicationsWO92/05266 and WO92/14829) and papilloma virus vectors (e.g., human andbovine papilloma virus) have all been employed in gene therapy (U.S.Pat. No. 5,719,054). Vectors also include cytomegalovirus (CMV) basedvectors (U.S. Pat. No. 5,561,063). Vectors that efficiently delivergenes to cells of the intestinal tract have been developed (see, e.g.,U.S. Pat. Nos. 5,821,235, 5,786,340 and 6,110,456).

Introduction of antibodies and nucleic acid encoding inventionantibodies into target cells can also be carried out by methods known inthe art such as osmotic shock (e.g., calcium phosphate),electroporation, microinjection, cell fusion, etc. Introduction ofnucleic acid and polypeptide in vitro, ex vivo and in vivo can also beaccomplished using other techniques. For example, a polymeric substance,such as polyesters, polyamine acids, hydrogel, polyvinyl pyrrolidone,ethylene-vinylacetate, methylcellulose, carboxymethylcellulose,protamine sulfate, or lactide/glycolide copolymers,polylactide/glycolide copolymers, or ethylenevinylacetate copolymers. Anucleic acid can be entrapped in microcapsules prepared by coacervationtechniques or by interfacial polymerization, for example, by the use ofhydroxymethylcellulose or gelatin-microcapsules, or poly(methylmethacrolate) microcapsules, respectively, or in a colloid drugdelivery system. Colloidal dispersion systems include macromoleculecomplexes, nano-capsules, microspheres, beads, and lipid-based systems,including oil-in-water emulsions, micelles, mixed micelles, andliposomes.

Liposomes for introducing various compositions into cells, includingnucleic acids, including, for example, phosphatidylcholine,phosphatidylserine, lipofectin and DOTAP, are known to those skilled inthe art (see, e.g., U.S. Pat. Nos. 4,844,904, 5,000,959, 4,863,740,4,975,282, GIBCO-BRL, Gaithersburg, Md.). Piperazine based amphiliccationic lipids useful for gene therapy also are known (see, e.g., U.S.Pat. No. 5,861,397). Cationic lipid systems also are known (see, e.g.,U.S. Pat. No. 5,459,127). Accordingly, viral and non-viral vector meansof delivery into cells or tissue, in vitro, in vivo and ex vivo areincluded.

The invention therefore also provides methods of producing antibodies ofthe invention. In one embodiment, a method includes: introducing anucleic acid that encodes the antibody into a host cell or a translationextract; incubating said host cell or extract under conditions wherebysaid nucleic acid is expressed as a translation product including saidantibody; and isolating or purifying the antibody. In one aspect, thenucleic acid encodes RM4. In another aspect, the nucleic acid encodesmodified RM4 (e.g., a variant or subsequence).

The invention antibodies also can be combined with any other compoundsor agents that may provide an enhanced or synergistic therapeuticbenefit. The invention therefore also provides combination compositionsincluding an invention antibody and one or more additional compounds oragents and methods of using the combinations. For example, an inventionantibody may be combined with a compound or agent that has anti-tumoractivity or immune enhancing activity. In a particular example, RM4 iscombined with RM2.

As used here, the term “immune enhancing,” when used in reference to acompound, agent, therapy or treatment, means that the compound agent,therapy or treatment, provides an increase, stimulation, induction orpromotion of an immune response, humoral or cell-mediated. Suchtherapies can enhance immune response generally, or enhance immuneresponse to a specific target tumor.

Specific non-limiting examples of immune enhancing agents includemonoclonal, polyclonal antibody and mixtures thereof. Antibodies includeantibodies that bind to tumor-associated antigens (TAA). The term “tumorassociated antigen” or “TAA” refers to an antigen expressed by a tumorcell. TAAs may be expressed in amounts greater in tumor cells than anormal non-tumor cell counterpart, or may be expressed at similarlevels, or at levels less than a normal cell counterpart.

Particular non-limiting examples of TAAs that can be targeted and TAAbinding antibodies include, for example, human IBD12 monoclonal antibodywhich binds to epithelial cell surface H antigen (U.S. Pat. No.4,814,275); M195 antibody which binds to leukemia cell CD33 antigen(U.S. Pat. No. 6,599,505); monoclonal antibody DS6 which binds toovarian carcinoma CA6 tumor-associated antigen (U.S. Pat. No.6,596,503); and BR96 antibody which binds to Le^(x) carbohydrate epitopeexpressed by colon, breast, ovary, and lung carcinomas. Additionalanti-tumor antibodies that can be employed include, for example,Rituxan®, Herceptin (anti-Her-2 neu antibody), Bevacizumab (Avastin),Zevalin, Bexxar, Oncolym, 17-1A(Edrecolomab), 3F8 (anti-neuroblastomaantibody), MDX-CTLA4, Campath®, Mylotarg and IMC-C225 (Cetuximab).

Antibody RM2 is produced by a human IgG secreting cell line derivedusing standard somatic cell hybridization technology (ATCC deposit No.PTA-5411; Example 1). RM2 binds to a peptide sequence termed AgRM2 ofapproximately 52 kDa, as determined by denaturing gel electrophoresis.AgRM2 is expressed at least in part on the cell surface. AgRM2 is morehighly expressed in proliferating cells than in non-proliferating cells,e.g., hyperproliferating cells. AgRM2 is present on metastatic ornon-metastatic lung, skin (melanoma), pancreatic, and brain(neuroblastoma/glioma) cancer cells.

Other non-limiting examples of TAAs that can be targeted with anantibody include MUC-1, HER-2/neu, MAGE, p53, T/Tn and CEA (Breastcancer); MUC-2 and MUC-4, CEA, p53 and the MAGE (colon cancer); MAGE,MART-1 and gp100 (melanoma); GM2, Tn, sTn, Thompson-Friedenreich antigen(TF), MUC1, MUC2, beta chain of chorionic gonadotropin (hCG beta),HER2/neu, PSMA and PSA (prostate cancer); chorionic gonadotropin(testicular cancer); and alpha fetoprotein (hepato-cellular carcinoma).

Additional examples of immune enhancing agents include immune cells suchas lymphocytes, plasma cells, macrophages, NK cells and B-cellsexpressing antibody against the tumor. Cytokines that enhance orstimulate immunogenicity against tumor such as IL-2, IL-1α, IL-1β, IL-3,IL-6, IL-7, granulocyte-macrophage-colony stimulating factor (GMCSF),IFN-γ, IL-12, TNF-α, and TNFβ are also non-limiting examples of immuneenhancing agents. Chemokines including MIP-1α, MIP-1β, RANTES, SDF-1,MCP-1, MCP-2, MCP-3, MCP-4, eotaxin, eotaxin-2, I-309/TCA3, ATAC, HCC-1,HCC-2, HCC-3, LARC/MIP-3α, PARC, TARC, CKβ, CKβ6, CKβ7, CKβ8, CKβ9,CKβ11, CKβ12, C10, IL-8, GROα, GROβ, ENA-78, GCP-2,PBP/CTAβIIIβ-TG/NAP-2, Mig, PBSF/SDF-1, and lymphotactin are additionalnon-limiting examples of immune enhancing agents.

As used herein, an “anti-tumor,” “anti-cancer” or “anti-neoplastic”treatment, therapy, activity or effect means any compound, agent,therapy or treatment regimen or protocol that inhibits, decreases,slows, reduces or prevents hyperplastic, tumor, cancer or neoplasticgrowth, metastasis, proliferation or survival. Anti-tumor compounds,agents, therapies or treatments can operate by disrupting, inhibiting ordelaying cell cycle progression or cell proliferation; stimulating orenhancing apoptosis, lysis or cell death, inhibiting nucleic acid orprotein synthesis or metabolism, inhibiting cell division, ordecreasing, reducing or inhibiting cell survival, or production orutilization of a necessary cell survival factor, growth factor orsignaling pathway (extracellular or intracellular). Examples ofanti-tumor therapy include chemotherapy, immunotherapy, radiotherapy(ionizing or chemical), local thermal (hyperthermia) therapy andsurgical resection.

Specific non-limiting examples of chemical agent classes havinganti-cell proliferative and anti-tumor activities include alkylatingagents, anti-metabolites, plant extracts, plant alkaloids, nitrosoureas,hormones, nucleoside and nucleotide analogues. Specific examples ofdrugs include cyclophosphamide, azathioprine, cyclosporin A,prednisolone, melphalan, chlorambucil, mechlorethamine, busulphan,methotrexate, 6-mercaptopurine, thioguanine, 5-fluorouracil, cytosinearabinoside, AZT, 5-azacytidine (5-AZC) and 5-azacytidine relatedcompounds, bleomycin, actinomycin D, mithramycin, mitomycin C,carmustine, lomustine, semustine, streptozotocin, hydroxyurea,cisplatin, mitotane, procarbazine, dacarbazine, taxol, vinblastine,vincristine, doxorubicin and dibromomannitol.

The invention further provides kits including one or more antibodies ofthe invention, including pharmaceutical formulations, packaged intosuitable packaging material. In one embodiment, a kit includes anantibody or modified form of RM4. In another embodiment, a kit includesa nucleic acid encoding an antibody or modified form of RM4. Inadditional embodiments, a kit includes nucleic acids that furtherinclude an expression control element; an expression vector; a viralexpression vector; an adeno-associated virus expression vector; anadenoviral expression vector; and a retroviral expression vector. In yetan additional embodiment, a kit includes a cell that expresses aninvention antibody or modified form, e.g., RM4. In still furtherembodiments, a kit includes a compound or agent having anti-tumor orimmune-enhancing activity, for example, an alkylating agent,anti-metabolite, plant alkaloid, plant extract, antibiotic, nitrosourea,hormone, nucleoside analogue, nucleotide analogue, antibody that binds aTAA.

As used herein, the term “packaging material” refers to a physicalstructure housing the components of the kit. The packaging material canmaintain the components sterilely, and can be made of material commonlyused for such purposes (e.g., paper, corrugated fiber, glass, plastic,foil, ampules, etc.). The label or packaging insert can includeappropriate written instructions, for example, practicing a method ofthe invention, e.g., detecting a hyperproliferative disorder, treating ahyperprolferative disorder, etc. Kits of the invention therefore canadditionally include instructions for using the kit components in amethod.

Thus, in additional embodiments, a kit includes a label or packaginginsert including instructions for expressing an invention antibody or anucleic acid encoding an invention antibody in cells in vitro, in vivo,or ex vivo. In yet additional embodiments, a kit includes a label orpackaging insert including instructions for treating a subject (e.g., asubject having or at risk of having a cell proliferative disorder suchas a tumor) with an invention antibody or a nucleic acid encoding aninvention antibody in vivo, or ex vivo. In further embodiments, a kitincludes a label or packaging insert including instructions fordetecting the presence or expression level of AgRM4 in vitro or in vivo.

Instructions can therefore include instructions for practicing any ofthe methods of the invention described herein. For example, inventionpharmaceutical compositions can be included in a container, pack, ordispenser together with instructions for administration to a subject.Instructions may additionally include indications of a satisfactoryclinical endpoint or any adverse symptoms that may occur, or additionalinformation required by regulatory agencies such as the Food and DrugAdministration for use on a human subject.

The instructions may be on “printed matter,” e.g., on paper or cardboardwithin the kit, on a label affixed to the kit or packaging material, orattached to a vial or tube containing a component of the kit.Instructions may comprise voice or video tape and additionally beincluded on a computer readable medium, such as a disk (floppy disketteor hard disk), optical CD such as CD- or DVD-ROM/RAM, magnetic tape,electrical storage media such as RAM and ROM and hybrids of these suchas magnetic/optical storage media.

Invention kits can additionally include a buffering agent, apreservative, or a protein/nucleic acid stabilizing agent. The kit canalso include control components for assaying for activity, e.g., acontrol sample or a standard. Each component of the kit can be enclosedwithin an individual container or in a mixture and all of the variouscontainers can be within single or multiple packages.

Antibodies, including modified forms, can be used for detection anddiagnostic purposes. The invention therefore also provides methods ofdetecting AgRM4. In one embodiment, a method includes: contacting AgRM4,or a sample that may contain AgRM4 with an antibody that binds to AgRM4under conditions allowing binding; and determining the presence ofAgRM4. Detecting AgRM4 indicates the presence of AgRM4. In one aspect,the detecting is in vitro. In another aspect, the detecting is in vivo.Thus, in another embodiment, a method of detecting the presence of AgRM4in a subject includes: contacting a subject or a sample from a subjectwith an antibody that binds to AgRM4 under conditions allowing theantibody to bind to AgRM4; and assaying for the presence of AgRM4 in thesubject or in the sample. The presence of AgRM4 indicates the presenceof AgRM4 in the subject. Because antibodies of the invention can be usedto detect AgRM4, the invention further provides methods for detectingexpression levels of AgRM4.

Methods of identifying compounds that inhibit or stimulate expression ofAgRM4 are provided. In one embodiment, a method includes: contacting acell that expresses or is capable of expressing AgRM4 with a testcompound; and detecting expression of AgRM4. A change in expression inthe presence of the test compound indicates that the test compoundinhibits or stimulates AgRM4 expression.

The antibodies of the invention, including subsequences, modified forms,encoding nucleic acids, etc., can be incorporated into pharmaceuticalcompositions. Such pharmaceutical compositions are useful foradministration to a subject in vivo or ex vivo, and for providingtherapy for a physiological disorder or condition treatable with aninvention antibody, e.g., a hyperproliferative disorder (tumor) of thebrain, lung, skin, pancreas, breast, colon or gut.

Pharmaceutical compositions include “pharmaceutically acceptable” and“physiologically acceptable” carriers, diluents or excipients. As usedherein the terms “pharmaceutically acceptable” and “physiologicallyacceptable” include solvents (aqueous or non-aqueous), solutions,emulsions, dispersion media, coatings, isotonic and absorption promotingor delaying agents, compatible with pharmaceutical administration. Suchformulations can be contained in a liquid; emulsion, suspension, syrupor elixir, or solid form; tablet (coated or uncoated), capsule (hard orsoft), powder, granule, crystal, or microbead. Supplementary compounds(e.g., preservatives, antibacterial, antiviral and antifungal agents)can also be incorporated into the compositions.

Pharmaceutical compositions can be formulated to be compatible with aparticular local or systemic route of administration. Thus,pharmaceutical compositions include carriers, diluents, or excipientssuitable for administration by particular routes. Specific non-limitingexamples of routes of administration for compositions of the inventionare parenteral, e.g., intravenous, intradermal, intramuscular,subcutaneous, oral, transdermal (topical), transmucosal, and rectaladministration.

Solutions or suspensions used for parenteral, intradermal, orsubcutaneous application can include: a sterile diluent such as waterfor injection, saline solution, fixed oils, polyethylene glycols,glycerine, propylene glycol or other synthetic solvents; antibacterialagents such as benzyl alcohol or methyl parabens; antioxidants such asascorbic acid or sodium bisulfite; chelating agents such asethylenediaminetetraacetic acid; buffers such as acetates, citrates orphosphates and agents for the adjustment of tonicity such as sodiumchloride or dextrose. pH can be adjusted with acids or bases, such ashydrochloric acid or sodium hydroxide.

Pharmaceutical compositions for injection include sterile aqueoussolutions (where water soluble) or dispersions and sterile powders forthe extemporaneous preparation of sterile injectable solutions ordispersion. For intravenous administration, suitable carriers includephysiological saline, bacteriostatic water, Cremophor EL™ (BASF,Parsippany, N.J.) or phosphate buffered saline (PBS). The carrier can bea solvent or dispersion medium containing, for example, water, ethanol,polyol (for example, glycerol, propylene glycol, and liquidpolyetheylene glycol, and the like), and suitable mixtures thereof.Fluidity can be maintained, for example, by the use of a coating such aslecithin, by the maintenance of the required particle size in the caseof dispersion and by the use of surfactants. Antibacterial andantifungal agents include, for example, parabens, chlorobutanol, phenol,ascorbic acid and thimerosal. Isotonic agents, for example, sugars,polyalcohols such as mannitol, sorbitol, sodium chloride can be includedin the composition. Including an agent which delays absorption, forexample, aluminum monostearate and gelatin can prolong absorption ofinjectable compositions.

Sterile injectable solutions can be prepared by incorporating the activecompound in the required amount in an appropriate solvent with one or acombination of above ingredients followed by filtered sterilization.Generally, dispersions are prepared by incorporating the active compoundinto a sterile vehicle containing a basic dispersion medium and otheringredients as above. In the case of sterile powders for the preparationof sterile injectable solutions, methods of preparation include, forexample, vacuum drying and freeze-drying which yields a powder of theactive ingredient plus any additional desired ingredient from apreviously sterile-filtered solution thereof.

For transmucosal or transdermal administration, penetrants appropriateto the barrier to be permeated are used in the formulation. Suchpenetrants are generally known in the art, and include, for example, fortransmucosal administration, detergents, bile salts, and fusidic acidderivatives. Transmucosal administration can be accomplished through theuse of nasal sprays, inhalation devices (e.g., aspirators) orsuppositories. For transdermal administration, the active compounds areformulated into ointments, salves, gels, creams or patches.

Invention antibodies, including s modified forms and nucleic acidsencoding them, can be prepared with carriers that protect against rapidelimination from the body, such as a controlled release formulation or atime delay material such as glyceryl monostearate or glyceryl stearate.The compositions can also be delivered using implants andmicroencapsulated delivery systems to achieve local or systemicsustained delivery or controlled release.

Biodegradable, biocompatable polymers can be used, such as ethylenevinyl acetate, polyanhydrides, polyglycolic acid, collagen,polyorthoesters, and polylactic acid. Methods for preparation of suchformulations are known to those skilled in the art. The materials canalso be obtained commercially from Alza Corporation and NovaPharmaceuticals, Inc. Liposomal suspensions (including liposomestargeted to cells or tissues using antibodies or viral coat proteins)can also be used as pharmaceutically acceptable carriers. These can beprepared according to methods known to those skilled in the art, forexample, as described in U.S. Pat. No. 4,522,811.

Additional pharmaceutical formulations appropriate for administrationare known in the art (see, e.g., Gennaro (ed.), Remington: The Scienceand Practice of Pharmacy, 20^(th) ed., Lippincott, Williams & Wilkins(2000); Ansel et al., Pharmaceutical Dosage Forms and Drug DeliverySystems, 7^(th) ed., Lippincott Williams & Wilkins Publishers (1999);Kibbe (ed.), Handbook of Pharmaceutical Excipients AmericanPharmaceutical Association, 3^(rd) ed. (2000); and PharmaceuticalPrinciples of Solid Dosage Forms, Technonic Publishing Co., Inc.,Lancaster, Pa., (1993)).

The pharmaceutical formulations can be packaged in dosage unit form forease of administration and uniformity of dosage. “Dosage unit form” asused herein refers to physically discrete units suited as unitarydosages treatment; each unit contains a predetermined quantity of activecompound in association with the pharmaceutical carrier or excipientcalculated to produce the desired therapeutic effect.

Thus, the invention provides methods for inhibiting or preventingproliferation of a cell that expresses AgRM4. In one embodiment, amethod includes contacting a cell that expresses AgRM4 with an amount ofantibody that binds to AgRM4 sufficient to inhibit or preventproliferation of the cell. In one aspect, the cell is a proliferatingcell, e.g., a hyperproliferating cell. In another aspect, thehyperproliferating cell is a metastatic or non-metastatic cancer cell.In particular aspects, the cell is selected from a brain, lung, skin,pancreas, breast colon or gut cell.

The cell may be present in a subject, for example, a mammal (e.g., humansubject) having or at risk of having a hyperproliferative disorder.Thus, the invention also provides methods of treating ahyperproliferative cell disorder in a subject wherein at least a portionof the hyperproliferative cells express AgRM4. In one embodiment, theantibody is administered to a subject in an amount sufficient to treatthe hyperproliferative cell disorder. In one aspect, thehyperproliferative disorder comprises a tumor.

Further provided are methods of treating a subject having or at risk ofhaving a tumor. In one embodiment, a method includes administering tothe subject an amount of human monoclonal antibody designated RM4 thatselectively binds to an antigen designated AgRM4, sufficient to treatthe subject. In additional embodiments, a method includes administeringto the subject an amount of antibody having the binding specificity ofhuman monoclonal antibody designated RM4; administering to the subjectan amount of antibody that competes for the binding of human monoclonalantibody designated RM4 to AgRM4; and administering to the subject anamount of antibody that binds to an epitope of AgRM4 to which humanmonoclonal antibody designated RM4 binds, sufficient to treat thesubject. In one aspect, a method also includes administering an immuneenhancing or anti-tumor agent, such as an anti-tumor antibody (e.g.,RM2).

As used herein, the term “hyperproliferate,” and grammatical variationsthereof, when used in reference to a cell, tissue or organ, refers toundesirable, excessive or abnormal cell, tissue or organ proliferation,differentiation or survival. Proliferative and differentiative disorderinclude diseases and physiological conditions, both benign andneoplastic, characterized by undesirable, excessive or abnormal cellnumbers, cell growth or cell survival in a subject. Specific examples ofsuch disorders include metastatic and non-metastatic tumors and cancers.

The terms “tumor,” “cancer,” “malignancy,” and “neoplasia” are usedinterchangeably herein and refer to a cell or population of cells of anycell or tissue origin, whose growth, proliferation or survival isgreater than growth, proliferation or survival of a normal counterpartcell, e.g. a cell proliferative or differentiative disorder. Suchdisorders include, for example, carcinoma, sarcoma, melanoma, neural,and reticuloendothelial or haematopoietic neoplastic disorders (e.g.,myeloma, lymphoma or leukemia). Tumors can arise from a multitude ofprimary tumor types, including but not limited to breast, lung, thyroid,head and neck, brain, lymphoid, gastrointestinal (mouth, esophagus,stomach, small intestine, colon, rectum), genito-urinary tract (uterus,ovary, cervix, bladder, testicle, penis, prostate), kidney, pancreas,liver, bone, muscle, skin, and may metastasize to secondary sites.Tumors can be in any stage, e.g., a stage I, II, III, IV or V tumor, orin remission.

A “solid tumor” refers to neoplasia or metastasis that typicallyaggregates together and forms a mass. Specific examples include visceraltumors such as melanomas, breast, pancreatic, uterine and ovariancancers, testicular cancer, including seminomas, gastric or coloncancer, hepatomas, adrenal, renal and bladder carcinomas, lung, head andneck cancers and brain tumors/cancers.

Carcinomas refer to malignancies of epithelial or endocrine tissue, andinclude respiratory system carcinomas, gastrointestinal systemcarcinomas, genitourinary system carcinomas, testicular carcinomas,breast carcinomas, prostatic carcinomas, endocrine system carcinomas,and melanomas. The term also includes carcinosarcomas, e.g., whichinclude malignant tumors composed of carcinomatous and sarcomatoustissues. Adenocarcinoma includes a carcinoma of a glandular tissue, orin which the tumor forms a gland like structure. Melanoma refers tomalignant tumors of melanocytes and other cells derived from pigmentcell origin that may arise in the skin, the eye (including retina), orother regions of the body, including the cells derived from the neuralcrest that also gives rise to the melanocyte lineage. Additionalcarcinomas can form from the uterine/cervix, lung, head/neck, colon,pancreas, testes, adrenal gland, kidney, esophagus, stomach, liver andovary.

Sarcomas refer to malignant tumors of mesenchymal cell origin. Exemplarysarcomas include for example, lymphosarcoma, liposarcoma, osteosarcoma,chondrosarcoma, leiomyosarcoma, rhabdomyosarcoma and fibrosarcoma.

Neural neoplasias include glioma, glioblastoma, meningioma,neuroblastoma, retinoblastoma, astrocytoma, oligodendrocytoma

A “liquid tumor” refers to neoplasia of the reticuloendothelial orhaematopoetic system, such as a lymphoma, myeloma, or leukemia, or aneoplasia that is diffuse in nature. Particular examples of leukemiasinclude acute and chronic lymphoblastic, myeolblastic and multiplemyeloma. Typically, such diseases arise from poorly differentiated acuteleukemias, e.g., erythroblastic leukemia and acute megakaryoblasticleukemia. Specific myeloid disorders include, but are not limited to,acute promyeloid leukemia (APML), acute myelogenous leukemia (AML) andchronic myelogenous leukemia (CML); lymphoid malignancies include, butare not limited to, acute lymphoblastic leukemia (ALL), which includesB-lineage ALL and T-lineage ALL, chronic lymphocytic leukemia (CLL),prolymphocytic leukemia (PLL), hairy cell leukemia (HLL) andWaldenstrom's macroglobulinemia (WM). Specific malignant lymphomasinclude, non-Hodgkin lymphoma and variants, peripheral T cell lymphomas,adult T cell leukemia/lymphoma (ATL), cutaneous T-cell lymphoma (CTCL),large granular lymphocytic leukemia (LGF), Hodgkin's disease andReed-Sternberg disease.

Methods of the invention include providing a detectable or measurableimprovement in the subjects condition: a therapeutic benefit. Atherapeutic benefit is any objective or subjective transient ortemporary, or longer term improvement in the condition or a reduction inthe severity or adverse symptom of the condition. Thus, a satisfactoryclinical endpoint is achieved when there is an incremental or a partialreduction in the severity or duration or frequency of one or moreassociated adverse symptoms or complications, or inhibition or reversalof one or more of the physiological, biochemical or cellularmanifestations or characteristics of the condition. A therapeuticbenefit or improvement (“ameliorate” is used synonymously) thereforeneed not be complete destruction of all target hyperproliferating cells(e.g., tumor) or ablation of all adverse symptoms or complicationsassociated with the disorder. For example, inhibiting an increase intumor cell mass (stabilization of a disease) can reduce mortality andprolong lifespan even if only for a few days, weeks or months, and eventhough some or most of the tumor remains.

Specific non-limiting examples of therapeutic benefit include areduction in tumor volume (size or cell mass), inhibiting an increase intumor volume, slowing or inhibiting tumor progression or metastasis,stimulating tumor cell lysis or apoptosis. Examination of a biopsiedsample containing a tumor (e.g., blood or tissue sample), can establishwhether a reduction in numbers of tumor cells or inhibition of tumorcell proliferation has occurred. Alternatively, for a solid tumor,invasive and non-invasive imaging methods can ascertain a reduction intumor size, or inhibiting increases in tumor size.

Adverse symptoms and complications associated with tumor, neoplasia, andcancer that can be reduced or decreased include, for example, nausea,lack of appetite, lethargy, pain and discomfort. Thus, a reduction inthe severity, duration or frequency of adverse symptoms, an improvementin the subjects subjective feeling, such as increased energy, appetite,psychological well being, are examples of therapeutic benefit.

The doses or “sufficient amount” for treatment to achieve a therapeuticbenefit or improvement are effective to ameliorate one, several or alladverse symptoms or complications of the condition, to a measurable ordetectable extent, although preventing or inhibiting a progression orworsening of the disorder, condition or adverse symptom, is asatisfactory outcome. Thus, in the case of a hyperproliferativecondition or disorder, the amount of antibody will be sufficient toprovide a therapeutic benefit to the subject or to ameliorate thecondition or symptom. The dose may be proportionally increased orreduced as indicated by the status of the disease being treated or theside effects of the treatment.

Doses also considered effective are those that result in reduction ofthe use of another therapeutic regimen or protocol. For example, anantibody of the invention is considered as having a therapeutic benefitif its administration results in less chemotherapeutic drug, radiationor immunotherapy being required for tumor treatment.

Of course, as is typical for treatment protocols, some subjects willexhibit greater or less response to treatment. For example, appropriateamounts will depend upon the condition treated (e.g., the tumor type orstage of the tumor), the therapeutic effect desired, as well as theindividual subject (e.g., the bioavailability within the subject,gender, age, etc.).

The invention antibodies also can be administered in association withany other therapeutic regimen or treatment protocol. Other treatmentprotocols include drug treatment (chemotherapy), surgical ressection,hyperthermia, radiotherapy, and immunetherapy, as set forth herein andknown in the art. The invention therefore provides methods in whioch theantibodies of the invention are used in combination with any anti-cellproliferative therapeutic regimen or treatment protocol, such as thoseset forth herein or known in the art.

Radiotherapy includes internal or external delivery to a subject. Forexample, alpha, beta, gamma and X-rays can administered to the subjectexternally without the subject internalizing or otherwise physicallycontacting the radioisotope. Specific examples of X-ray dosagesadministered range from daily doses of 50 to 200 roentgens for prolongedperiods of time (3 to 5/week), to single doses of 2000 to 6000roentgens. Dosages vary widely, and depend on duration of exposure, thehalf-life of the isotope, the type of radiation emitted, the cell typeand location treated and the progressive stage of the disease.

The term “subject” refers to animals, typically mammalian animals, suchas a non-human primate (gorillas, chimpanzees, orangutans, macaques,gibbons), a domestic animal (dogs and cats), a farm animal (horses,cows, goats, sheep, pigs), experimental animal (mouse, rat, rabbit,guinea pig) and humans. Subjects include disease model animals (e.g.,such as mice and non-human primates) for testing in vivo efficacy ofantibodies of the invention (e.g., a tumor animal model). Human subjectsinclude adults, and children, for example, newborns and older children,between the ages of 1 and 5, 5 and 10 and 10 and 18.

Subjects include humans having or at risk of having a hyperproliferativedisorder, such as subjects having a cell or tissue that expresses AgRM4,or subjects that have a family history of, are genetically predisposedto, or have been previously afflicted with a hyperproliferativedisorder. Thus, subjects at risk for developing cancer can be identifiedwith genetic screens for tumor associated genes, gene deletions or genemutations. Subjects at risk for developing breast cancer lack Brcal, forexample. Subjects at risk for developing colon cancer have deleted ormutated tumor suppressor genes, such as adenomatous polyposis coli(APC), for example.

Unless otherwise defined, all technical and scientific terms used hereinhave the same meaning as commonly understood by one of ordinary skill inthe art to which this invention relates. Although methods and materialssimilar or equivalent to those described herein can be used in thepractice or testing of the invention, suitable methods and materials aredescribed herein.

All publications, patents and other references cited herein areincorporated by reference in their entirety. In case of conflict, thepresent specification, including definitions, will control.

As used herein, singular forms “a”, “and,” and “the” include pluralreferents unless the context clearly indicates otherwise. Thus, forexample, reference to “an antibody” includes a plurality of suchantibodies and reference to “a sequence” can include reference to all ora part of or one or more sequences, and so forth.

A number of embodiments of the invention have been described.Nevertheless, it will be understood that various modifications may bemade without departing from the spirit and scope of the invention.Accordingly, the following examples are intended to illustrate but notlimit the scope of invention described in the claims.

EXAMPLES Example 1

This example describes characteristics of human monoclonal antibody RM2(ATCC deposit No. PTA-5411).

Generation of RM2:

Pooled regional draining lymph nodes from patients with colon andpancreatic cancers were obtained from surgical specimens at biopsy,processed under sterile conditions and then stimulated in vitro withpokeweed mitogen (PWM; Borrebaeck, C. (ed) In Vitro Immunization inHybridoma Technology; Elsevier Publisher, New York, 1988). Briefly,nodal segments were immersed in serum-free RPMI 1640 media, trimmed freeof extraneous tissue and capsular components, and teased with nugentforceps to make a single cell suspension. Cells remaining in suspensionafter larger aggregates settled were removed and washed twice (500×g for5 min). All dissections and cell preparations were performed at roomtemperature. The isolated lymphocytes were resuspended at 5×10^6/ml inRPMI 1640 medium supplemented with 10% FCS and PWM (Borrebaeck, C. (ed),supra) and subsequently incubated overnight at 37c in 5% CO2/95% airprior to fusion.

Using 35% Polyethylede Glycol 1500, 3.3×10^7 patient's lymphocytes werefused with 1.6×10^7 TMr-RN15 cells using standard hybridoma generationprotocols (Harlow and Lane, supra). After the fusion, the cells wereadded to 96-well microtiter plates at 1×10^5 cells/well. The day afterthe fusion the growth medium was replaced by RPMI 1640 mediumsupplemented with 10% FCS and 2 mM glutamine, including hypoxanthine(1×10^−4M), amethopterin (4×10^−7M), and thymidine (1.6×10^−5 M) [HATmedia]. After 2 to 4 weeks in culture, hybrids visible to the eye werefurther analyzed for human antibody production. Those found to secreteantibody were expanded and cloned by limiting dilution without anyfeeder layer cells in standard RPMI 1640 medium supplemented with 10%FCS.

TABLE 1 RM2 EIA Cell Line Reactivity Profile Cell Line Reactivity BrainU-87 MG + MC-IXC + Lung SK-LU-1 + A549 + Calu-1 + NCI-H661 + MelanomaA375 + MeWo + SK-MEL-28 + Pancreatic PANC-1 + Capan-1 + Breast SK-BR-3 −MCF-7 − Colon Colo205 − HT-29 − LoVo − Caco-2 − SK-CO-1 − HematopoieticDaudi − Raji − Ovary Caov-4 − SK-OV-3 − Skin A431 −Immunohistochemistry:

Tissue thin sections (5 u thick) from fresh surgical biopsy specimenswere prepared by cryostat and mounted on glass slides for evaluation(Harlow and Lane, supra). RM2 was added first to the slides, incubatedfor 45 min, washed, and incubated another 45 min with a biotinylatedsecondary goat anti-human IgG, followed by avidin-horseradishperoxidase. The sections were counter stained with Evan'sblue/hematoxylin and mounted. These results are shown in Table 2.

TABLE 2 RM2 Tumor Tissue Breast 1/1 Colon 0/6 (0/2) Lung 7/7 (2/2)Melanoma 9/9 (3/3) Pancreatic 4/4 Leukemia 0/4 Lymphoma 0/4 NormalTissue Adrenal gland 0/3 Breast 0/4 Bronchus 0/3 Esophagus 0/3Gallbladder 0/3 Heart 0/3 Intestine 0/5 Kidney 0/4 Liver 0/3 Lung 0/3Muscle 0/3 Ovary 0/3 Pancreas 0/3 Prostate 0/3 Skin 0/3 Spleen 0/3Stomach 0/3 Testis 0/3 Thyroid 0/3 Tongue 0/3 Tonsil 0/3 Urinary Bladder0/3RM2 Purification:

Antibody containing supernatants from the RM2 clone were pooled,concentrated, and purified with Protein G chromatography. The column wasextensively washed to remove non-bound proteins. RM2 antibody was elutedfrom the column using low pH and subsequently analyzed for activity.

Biodistribution:

Purified RM2 was labeled with 125-I using a standard chloramine-Tprocedure. 1.0 mg of RM2 was combined with 125-I (14–17 mCi/ug) at aniodine:protein ratio of 1:10 in 12×75 tubes. Ten ul of chloramine-T per100 ug protein were added and incubated for 3 min at room temperature.The reaction was stopped with 10 ul of sodium metabisulfite per 100 ugprotein. Nonbound 125-I was removed by using a G-50-80 centrifugecolumn. Specific activities were between 0.2–1.0 mCi/mg (0.02–0.1mCi/100 ug RM2). 4×10^6 PANC-1 cells were implanted subcutaneously onthe left flanks of 5 female athymic mice (nu/nu; 4–6 weeks old). Whentumor volumes were about 200–300 mm^3 each mouse was given 100 ul of125-I labeled RM2 via tail vein. 48 hours later the mice were sacrificedand the tumor, blood, and major organs were removed, weighed, andcounted in a gamma scintillation counter. These results are shown inTable 3.

TABLE 3 Organs RM2 (PANC-1) tumor 30.4 liver 11.9 spleen 11.5 kidney 2.4lung 3.4 muscle 3.8 heart 2.5 stomach 4.9 intestine 3.1 bone 2.7 blood8.9Tumor Regression:

On day zero, fifteen female athymic mice (nu/nu; 4–6 weeks old) wereeach injected with 4×10^6 PANC-1 cells in the left flank and dividedinto three groups of five mice each. On day 7, Group 1 received 100 ulinjections of PBS, Group 2 received 100 ul injections of 100 ug ofcontrol (irrelevant) IgG, and Group 3 received 100 ul injections of 100ug of RM2. On day 10, each Group received a second injection of theirrespective treatments. On day 14 each Group received a third injectionand on day 21 each Group received their last injection. Each mouse wasevaluated and tumor measured on the same day, once a week. This data isshown in FIG. 1. Tumor Volume at each week following injection expressednumerically is summarized in Table 7.

Example 2

This example describes the isolation of Human Monoclonal Antibody RM4,the tissue and antigen binding characteristics of the antibody and thesequence of the antibody.

Generation of RM4:

Pooled regional draining lymph nodes from patients with colon cancerwere obtained from surgical specimens at biopsy and processed understerile conditions. Briefly, the nodal segments were immersed inserum-free RPMI 1640 media, trimmed free of extraneous tissue andcapsular components, and teased with nugent forceps to make a singlecell suspension. Cells remaining in suspension after larger aggregatessettled were removed and washed twice (500×g for 5 min). All dissectionsand cell preparations were performed at room temperature. The isolatedlymphocytes were resuspended at 5×10^6/ml in RPMI 1640 mediumsupplemented with 10% FCS and incubated overnight at 37c in 5% CO2/95%air prior to fusion.

Using 35% Polyethylede Glycol 1500, 3.3×10^7 patient's lymphocytes werefused with 1.6×10^7 RN15 cells using standard hybridoma generationprotocols (Harlow and Lane, supra). After the fusion, the cells wereadded to 96-well microtiter plates at 1×10^5 cells/well. The day afterthe fusion the growth medium was replaced by RPMI 1640 mediumsupplemented with 10% FCS and 2 mM glutamine, including hypoxanthine(1×10^−4M), amethopterin (4×10^−7M), and thymidine (1.6×10^−5M) [HATmedia]. After 2 to 4 weeks in culture, hybrids visible to the eye werefurther analyzed for human antibody production. Those found to secreteantibody were expanded and cloned by limiting dilution without anyfeeder layer cells in standard RPMI 1640 medium supplemented with 10%FCS.

Antibody Assay:

Quantitation of human immunoglobulin was assessed by standard enzymeimmunoassays (EIA) as previously described (Harlow and Lane, supra).

RM4 Specificity:

To asses the specificity of RM4 the antibody was screened against apanel of human cell lines and this data is shown in Table 4. The celllines were obtained from the American Type Culture Collection (ATCC) andimmobilized on assay plates for analysis. Briefly, logarithmic phasecells were collected, washed in PBS, resuspended, aliquoted at 2×10^5cells per well in flat-bottomed Immulon 96-well plates, and placedovernight in a 37c drying oven (Harlow, E. and Lane, D. Antibodies. ALaboratory Manual; Cold Spring Harbor Laboratory, New York, 1988). Tothese cells, RM4 antibody supernatant was added, incubated, washed, anddeveloped with horseradish peroxidase-conjugated goat anti-human IgG.All tests were done in triplicate and read on a micro-plate EIA reader.

TABLE 4 RM4 EIA Cell Line Reactivity Profile Cell Line Reactivity BreastMDA-MB-361 + SK-BR-3 + MCF-7 + Colon WiDr + Colo205 + LoVo + LST174 +HT-29 + Gastric KATO-III + Lung SK-LU-1 + NCI-H661 + NCI-H1435 +Calu-1 + A549 + Brain U-87 MG − MC-ICX − Hematopoietic Raji − Daudi −EB1 − Melanoma A375 − MeWo − SK-MEL-28 − Ovary Caov-4 − SK-OV-3 −Pancreatic Capan-1 − PANC-1 − Skin A431 −Immunohistochemistry:

Tissue thin sections (5u thick) from fresh surgical biopsy specimenswere prepared by cryostat and mounted on glass slides for evaluation(Harlow and Lane, supra). RM4 was added first to the slides, incubatedfor 45 min, washed, and incubated another 45 min with a biotinylatedsecondary goat anti-human IgG, followed by avidin-horseradishperoxidase. The sections were counter stained with Evan'sblue/hematoxylin and mounted. These results are shown in Table 5.

TABLE 5 Tumor Tissue RM4 Breast 4/4 Colon 8/8 (2/2) Lung 7/7 (3/3)Melanoma 0/4 (0/2) Pancreatic 0/3 Leukemia 0/4 Lymphoma 0/4 NormalTissue 0/3 Adrenal gland 0/3 Breast 0/3 Bronchus 0/3 Esophagus 0/3Gallbladder 0/3 Heart 0/4 Intestine 0/3 Kidney 0/3 Liver 0/3 Lung 0/3Muscle 0/3 Ovary 0/3 Pancreas 0/3 Prostate 0/3 Skin 0/4 Spleen 0/3Stomach 0/3 Testis 0/3 Thyroid 0/3 Tongue 0/3 Tonsil 0/3 Urinary Bladder0/3RM4 Purification:

Antibody supernatants from the RM4 clone were pooled, concentrated, andpurified with Protein G chromatography. The column was extensivelywashed to remove non-bound proteins. RM4 antibody was eluted from thecolumn using low pH and subsequently analyzed for activity.

Biodistribution:

Purified RM4 was labeled with 125-I using a standard chloramine-Tprocedure. 1.0 mg of RM4 was combined with 125-I (14–17 mCi/ug) at aniodine:protein ratio of 1:10 in 12×75 tubes. Ten ul of chloramine-T per100 ug protein were added and incubated for 3 min at room temperature.The reaction was stopped with 10 ul of sodium metabisulfite per 100 ugprotein. Nonbound 125-I was removed by using a G-50-80 centrifugecolumn. Specific activities were between 0.2–1.0 mCi/mg (0.02–0.1mCi/100 ug RM3). 4×10^6 SK-BR-3 cells were implanted subcutaneously onthe left flanks of 5 female athymic mice (nu/nu; 4–6 weeks old). Whentumor volumes were about 200–300 mm^3 each mouse was given 100 ul of125-I labeled RM4 via tail vein. 48 hours later the mice were sacrificedand the tumor, blood, and major organs were removed, weighed, andcounted in a gamma scintillation counter. These results are shown inTable 6.

TABLE 6 Organs RM4 (SK-BR-3) tumor 8.9 liver 7.2 spleen 7.4 kidney 1.3lung 3.4 muscle 1.4 heart 1.1 stomach 1.4 intestine 2.3 bone 1.2 blood4.2Tumor Regression:

On day zero, fifteen female athymic mice (nu/nu; 4–6 weeks old) wereeach injected with 4×10^6 Colo205 cells in the left flank and dividedinto three groups of five mice each. On day 7, Group 1 received 100 ulinjections of PBS, Group 2 received 100 ul injections of 100 ug ofcontrol (irrelevant) IgG, and Group 3 received 100 ul injections of 100ug of RM4. On day 10, each Group received a second injection of theirrespective treatments. On day 14 each Group received a third injectionand on day 21 each Group received their last injection. Each mouse wasevaluated and tumor measured on the same day, once a week. This data isshown in FIG. 2. Tumor Volume at each week following injection expressednumerically is summarized in Table 7.

Antigen Analysis:

No antigen was detected using standard western blot procedures. Thissuggests that either AgRM4 is not a protein, is a conformation dependentstructure, or is bound to the non-protein fraction of cells.

FACS analysis has shown AgRM4 to cell proliferation dependent. Cells instationary phase growth do not express cell surface AgRM4. Cells growinglogarithmically express AgRM4 at high levels.

TABLE 7 Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9Colo 205 Control 128 ± 46  1132 ± 581  8289 ± 212  47323 ± 18969 130483± 18640  Human 120 ± 52  308 ± 90  1760 ± 395  9850 ± 2861 32979 ± 3041 82009 ± 19519 170749 ± 31873  IgG RM4 128 ± 46   77 ± 121 9 ± 6 16 ± 4 16 ± 5  26 ± 12 60 ± 62 613 ± 534 2288 ± 948 Panc-1 Control 45 ± 16 1677± 379  10435 ± 3728  64244 ± 12008 122229 ± 40601  Human 36 ± 22 592 ±712 12312 ± 2963  42968 ± 9477  97656 ± 25317 161964 ± 35267  IgG RM2 36± 22 9 ± 6 5 ± 3 10 ± 5  10 ± 5  10 ± 5  8 ± 0 10 ± 6  10 ± 5 

Example 3

This example describes the synergistic activity of RM4 in combinationwith antibody RM2.

In brief, fifteen female athymic mice (nu/nu; 4–6 weeks old) were eachinjected with 4×10^6 Calu 1 cells (lung tumor) at day 0 as describedabove. On day 7, Group 1 received 100 ul injections of PBS, Group 2received 100 ul injections of 100 ug of control (irrelevant) IgG, andGroup 3 received 100 ul injections of 100 ug of RM4. On day 10, eachGroup received a second injection of their respective treatments. On day14 each Group received a third injection and on day 21 each Groupreceived their last injection. Each mouse was evaluated and tumormeasured on the same day, once a week. This data is shown in FIG. 3.

1. A method of inhibiting the proliferation of a lung cancer cell orcolon cancer cell that expresses AgRM4 comprising contacting said cellwith an amount of an isolated human monoclonal antibody that isdesignated RM4 (ATCC deposit No. PTA-5412) and that selectively binds toan antigen designated AgRM4 sufficient to inhibit proliferation of thecell.
 2. The method of claim 1, wherein said cell is ahyperproliferating cell.
 3. The method of claim 2, wherein saidhyperproliferating cell comprises a metastatic or non-metastatic cancercell.
 4. The method of claim 1, wherein said cell is present in asubject.
 5. The method of claim 4, wherein said subject is a mammal. 6.The method of claim 4, wherein said subject is human.
 7. A method oftreating a hyperproliferative cell disorder, wherein saidhyperproliferative cell disorder is lung cancer and wherein saidhyperproliferative cells express AgRM4 and AgRM2, comprisingadministering to a subject an amount of an isolated human monoclonalantibody that is designated RM4 (ATCC deposit No. PTA-5412) and thatselectively binds to an antigen designated AgRM4, and an antibodydenoted as RM2 (ATCC deposit No. PTA-5411) sufficient to treat saidhyperproliferative cell disorder.
 8. The method of claim 7, wherein thesaid hyperproliferating cell comprises a metastatic or non-metastaticcancer.
 9. The method of claim 7, wherein said subject is a mammal. 10.The method of claim 7, wherein said subject is human.
 11. A method oftreating a subject having a lung cancer tumor or colon cancer tumorexpressing AgRM4, comprising administering to said subject an amount ofan antibody that selectively binds to AgRM4 at an epitope of AgRM4 towhich an antibody that is designated RM4 (ATCC deposit No. PTA-5412)binds, wherein said amount is effective to treat said subject.
 12. Themethod of claim 11, wherein said antibody competes for binding to AgRM4with of the antibody that is designated AgRM4.
 13. The method of claim11, wherein said antibody is designated RM4 (ATCC deposit No. PTA-5412).14. The method of claim 11, wherein said tumor comprising stage I, II,III, IV, or V tumor.
 15. The method of claim 11, wherein said tumor ismetastatic or non-metastatic.
 16. The method of claim 11, wherein saidtumor comprises a carcinoma.
 17. The method of claim 11, wherein saidtreatment reduces tumor volume, inhibits an increase in tumor volume, orinhibits progression of the tumor.
 18. The method of claim 11, whereinsaid subject is a candidate for, is undergoing, or has undergoneanti-tumor theraphy.
 19. The method of claim 11, further comprisingadministering an anti-tumor or immune enhancing agent.
 20. The method ofclaim 11, further comprising administering an additional anti-tumorantibody.
 21. The method of claim 20, wherein said additional antibodycomprises RM2 (ATCC deposit No. PTA-5411) and wherein said tumor is lungcancer.